Evidence map›Paper›PMID 32362226›Full record

Trial reportPsychiatric services (Washington, D.C.)2020

Randomized Trial of a Mobile Personal Health Record for Behavioral Health Homes.

Benjamin G Druss, Jianheng Li, Stephanie Tapscott, Cathy A Lally

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychiatric services (Washington, D.C.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
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  8. Observational
  9. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Benjamin G DrussDepartment of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta.
Jianheng LiDepartment of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta.
Stephanie TapscottDepartment of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta.
Cathy A LallyDepartment of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta.
Emory University · US

Funding

A Mobile Personal Health Record for Behavioral Health HomesR01MH100467 · NIMH · EMORY UNIVERSITY · PI DRUSS, BENJAMIN G · 2013 to 2017
$3.3M
NIMH NIH HHS R01 MH100467
6 · The paper itself

Abstract

objectiveBehavioral health homes, which provide onsite primary medical care in mental health clinics, face challenges in integrating information across multiple health records. This study tested whether a mobile personal health record application improved quality of medical care for individuals treated in these settings.

methodsThis randomized study enrolled 311 participants with a serious mental illness and one or more cardiometabolic risk factors across two behavioral health homes to receive a mobile personal health record application (N=156) or usual care (N=155). A secure mobile personal health record (mPHR) app provided participants in the intervention group with key information about diagnoses, medications, and laboratory test values and allowed them to track health goals. The primary study outcome was a chart-derived composite measure of quality of cardiometabolic and preventive services.

resultsAt 12-month follow-up, participants in the mPHR group maintained high quality of care (70% of indicated services at baseline and at 12-month follow-up), in contrast to a decline in quality for the usual-care group (71% at baseline and 67% at follow-up), resulting in a statistically significant but clinically modest differential impact between the groups. No differences between the study groups were found in secondary self-reported outcomes, including delivery of chronic illness care, patient activation, and quality of life related to mental or general medical health.

conclusionsUse of a mPHR app was associated with a statistically significant but clinically modest differential benefit for quality of medical care among individuals with serious mental illness and comorbid cardiometabolic conditions.

Indexed as

Health Records, PersonalMental Health ServicesMobile ApplicationsFemaleHumansMaleMental DisordersMiddle AgedPrimary Health CareQuality of LifeUnited Statesintegrated caremental health services researchquality of careSerious mental illness

Identifiers

PMID32362226
PMCPMC7415646
OpenAlexW3023552458

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.